Organization
CROSSROADS ASSOCIATES
Active
Other names
Crossroads Residential Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE E WHITE (EXECUTIVE DIRECTOR)
(408) 226-2834
Entity
Organization
Contact information
Practice address
5487 JUDITH ST, #1, SAN JOSE, CA 95123-1807
(408) 226-2834
Mailing address
PO BOX 23126, SAN JOSE, CA 95153-3126
(408) 226-2834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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